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NPI Profile for HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT in BEAUMONT, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Preventive Medicine/Occupational-Environmental Medicine |
2083P0500X | 84 | Physician/Preventive Medicine |
| NPI Number | 1790332955 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/22/2019 | |
| Last updated | 08/22/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT
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HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT